Christopher Tad Clark, M.ED. Valid NPI

Individual provider · Professional Counselor · Rock Springs, WY

NPI

1992053474

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

License number

1198 (WY)

Sex

Male

Sole proprietor

Yes

Enumerated

2012-08-15

Last updated

2020-04-28